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This is VAERS ID 1421751

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History of Changes from the VAERS Wayback Machine

First Appeared on 6/25/2021

VAERS ID: 1421751
VAERS Form:2
Age:55.0
Sex:Male
Location:Foreign
Vaccinated:2021-05-22
Onset:2021-05-22
Submitted:0000-00-00
Entered:2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3558 / 1 LA / OT

Administered by: Other      Purchased by: ??
Symptoms: Influenza like illness, Myocardial infarction, Thirst, Vomiting, Musculoskeletal stiffness

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-05-24
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: EXFORGE
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Arterial hypertension (Moderate)
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': FRPFIZER INC2021668045

Write-up: Infarct myocardial; Very strong feeling of thirst; Stiffness all over the body; Flu-like condition; Vomiting; This is a spontaneous report from a contactable consumer or other non hcp downloaded from the WEB FR-AFSSAPS-2021066121. A 55-year-old male patient received the first dose of BNT162B2 (COMIRNATY; lot number: FC3558), intramuscular, administered in left arm on 22May2021 as single dose for COVID-19 immunisation. The patient''s medical history included arterial hypertension (moderate). The patient''s concomitant medications included amlodipine besilate, valsartan (EXFORGE). The patient had a bad experience after the injection on 22May2021 with a very strong feeling of thirst, stiffness all over the body, a flu-like condition, and vomiting. The patient died due to infarct myocardial on 24May2021. The outcome of the other events was unknown. An autopsy was performed and results were not provided (pending).; Reported Cause(s) of Death: Infarct myocardial

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